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A case of hypermelanosis in a phylloid pattern.
Seon-Wook Hwang1, Kyung-Jong Cho, Ju-Hyun Kang
1Department of Dermatology, Inje University College of Medicine, Busan, Korea.
Journal of the American Academy of Dermatology
|March 19, 2009
Summary
A rare phylloid pattern of skin hyperpigmentation and hair anomalies was observed in a young Korean man. This case highlights the association of pigmentary anomalies with significant musculoskeletal conditions.
Area of Science:
- Dermatology
- Clinical Genetics
- Human Anatomy
Background:
- Pigmentary anomalies present diverse dermatological patterns.
- The phylloid pattern is a rare, leaf-shaped arrangement of skin features.
- Understanding rare dermatological presentations is crucial for diagnosis.
Observation:
- A 20-year-old Korean male presented with unique hyperpigmented patches and short, thick hairs.
- These features exhibited a distinct phylloid (leaf-shaped) pattern.
- Affected areas included the face, left shoulder, and left trunk.
Findings:
- The patient displayed associated musculoskeletal anomalies.
- These included bilateral club foot, equinovarus deformities, and lumbar lordosis.
- Spina bifida and relative right thigh muscle hypertrophy were also noted.
Implications:
- This case expands the known spectrum of phylloid pattern presentations.
- It underscores the potential link between rare pigmentary disorders and congenital musculoskeletal abnormalities.
- Further research may elucidate shared genetic or developmental pathways.
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